Non-Judicial Stamp Paper

Print the below income declaration on the

Non-Judicial Stamp Paper (Rs. 10/-)

INCOME DECLARATION FORM
|Name of the Student : |
|1. |(i) Name of the Father | | |4. |Business mention the trade/name of business | |-No- |
| |(ii) Whether Employed | |-No- | |Income derived from the venture | |-No- |
| |(iii) if employed, Designation | |Daily Labour |5. |(i) No. of Vehicles owned by the Family | |Nill |
| |(iv) Salary per month | |Rs. 4,000 | |(ii) Whether used for personal/private use only | |-No- |
|2. |(i) Name of the Mother | |G. Swarupa | |(iii) Mention type of vehicles (two wheeler/ | |Regd. No. |
| | | | | |three wheeler/four wheeler) | | |
| |(ii) Whether Employed | |-N0- | |(iv) Vehicle registered on whose name | |-No- |
| |(iii) if employed, Designation | |-NO- |6. |(i) Type of House: Mention whether RCC, | |Tiled Roofed |
| | | | | |thatched/Tiled roofed | | |
| |(iv) Salary per month | |-No- | |(ii) Mention whether Indiramma House |